NPIMap

Organization Active NPI

Ludwick Laser & Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Williamsport, MD
National Provider Identifier
1447775770
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LUDWICK LASER & SURGERY CENTER, LLC
Practice address
10212 Governor Lane Blvd Unit 1004
Williamsport, MD 21795-4088
Phone
(301) 733-4200
Fax
(301) 223-7121
NPI assigned
Aug 8, 2017
Last updated
Aug 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David John Ludwick, M.DNPI 1326047770
Title
President
Phone
(717) 264-6560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

10212 Governor Lane Blvd Unit 1004
Williamsport, MD 21795-4088

Mailing address

825 5TH Ave Ste 101
Chambersburg, PA 17201-4214
Phone (717) 262-9700

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2105370Ludwick Laser and Surgery Center10212 Governor Lane Blvd Suite 1004, Williamsport, MD 21795Certificate of waiverNov 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ludwick Laser and Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1447775770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 5TH AVE STE 101",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014214",
            "telephone_number": "717-262-9700",
            "fax_number": "717-264-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 GOVERNOR LANE BLVD UNIT 1004",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217954088",
            "telephone_number": "301-733-4200",
            "fax_number": "301-223-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDWICK LASER & SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "LUDWICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-264-6560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.